Comprehensive study of anxiety and depression in females with urinary incontinence

Abstract

Background:

Anxiety and depression are commonly seen with urinary incontinence (UI) and its association is strongest for urgency and mixed UI. It affects the quality of life and functional status.

Aims:

To assess the prevalence and severity of anxiety and depression in SUI (Stress urinary incontinence) and UUI/MUI (Urge or mixed urinary incontinence), to assess the severity of SUI and UUI/MUI and its association with anxiety and depression and to identify various factors associated with anxiety and depression.

Materials and methods:

An observational study using various tools as history regarding urinary incontinence, history of other prior events which can lead to anxiety or depression, age, educational level, BMI (Body mass index), HADS scale (Hospital anxiety and depression scale) for anxiety and depression and ICIQ-UI-SF score (International Consultation on Incontinence Questionnaire-Urinary Incontinence-Short Form).

Results:

The Prevalence of anxiety and depression in UUI/MUI was higher. More women were overweight (BMI > 25) in the UUI/MUI group. Higher prevalence of anxiety and depression in the very severe urinary incontinence group. No association of the level of education with anxiety and depression in women with urinary incontinence.

Conclusion:

Anxiety and depression are more in UUI/MUI patients compared to SUI. In obese ladies, UUI is more prevalent compared to SUI. Anxiety and depression are more with increasing severity of incontinence. Anxiety and depression have no association with the educational status of the patients.

Keywords

Anxiety depression urinary incontinence

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References

Hunskaar

Lose

Sykes

, et al. The prevalence of urinary incontinence in women in four European countries. BJU Int 2004; 93(3): 324–330.

Hunskaar

Arnold

Burgio

, et al. Epidemiology and Natural History of urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct 2000; 11(5): 301–319.

AHCPR Urinary Incontinence in Adults Guideline Update Panel. Managing acute and chronic urinary incontinence. Am Fam Physician 1996; 54: 1661–1672.

Haylen

de Ridder

Freeman

, et al. An international urogynecological association (IUGA)/international continence society (ICS) joint report on the terminology for female pelvic floor dysfunction. Neurourol Urodyn 2010; 29(1): 4–20.

Shamliyan

Kane

Wyman

, et al. Systematic review: randomized, controlled trials of nonsurgical treatments for urinary incontinence in women. Ann Intern Med 2008; 148(6): 459–473.

Wood

Anger

. Urinary incontinence in women. BMJ 2014; 349: g4531–g4531.

Kessler

Chiu

Demler

, et al. Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the national comorbidity survey replication. Arch Gen Psychiatry 2005; 62(6): 617.

Narrow

Rae

Robins

, et al. Revised prevalence estimates of mental disorders in the United States. Arch Gen Psychiatry 2002; 59(2): 115.

Nygaard

Turvey

Burns

, et al. Urinary incontinence and depression in middle-aged United States women. Obstet Gynecol 2003; 101(1): 149–156.

10.

Melville

Delaney

Newton

, et al. Incontinence severity and major depression in incontinent women. Obstet Gynecol 2005; 106(3): 585–592.

11.

Felde

Bjelland

Hunskaar

. Anxiety and depression associated with incontinence in middle-aged women: a large Norwegian cross-sectional study. Int Urogynecol J 2012; 23: 299–306.

12.

Melville

Walker

Katon

, et al. Prevalence of comorbid psychiatric illness and its impact on symptom perception, quality of life, and functional status in women with urinary incontinence. Am J Obstet Gynecol 2002; 187: 80–87.

13.

Monz

Chartier-Kastler

Hampel

, et al. Patient characteristics associated with quality of life in European women seeking treatment for urinary incontinence: results from PURE. Eur Urol 2007; 51(4): 1073–1082.

14.

Hunskaar

Vinsnes

. The quality of life in women with urinary incontinence as measured by the sickness impact profile. J Am Geriatr Soc 1991; 39: 378–382.

15.

Murray

Lopez

. Global mortality, disability, and the contribution of risk factors: Global Burden of Disease Study. Lancet 1997; 349: 1436–1442.

16.

Mykletun

Bjerkeset

øverland

, et al. Levels of anxiety and depression as predictors of mortality: the HUNT study. Br J Psychiatry 2009; 195: 118–125.

17.

Vigod

Stewart

. Major depression in female urinary incontinence. Psychosomatics 2006; 47: 147–151.

18.

Zorn

Montgomery

Pieper

, et al. Urinary incontinence and depression. J Urol 1999; 162: 82–84.

19.

van der Vaart

Roovers

JPWR

de Leeuw

JRJ

, et al. Association between urogenital symptoms and depression in community-dwelling women aged 20 to 70 years. Urology 2007; 69: 691–696.

20.

Zigmond

Snaith

. The hospital anxiety and depression scale. Acta Psychiatr Scand 1983; 67: 361–370.

21.

Klovning

Avery

Sandvik

, et al. Comparison of two questionnaires for assessing the severity of urinary incontinence: the ICIQ-UI SF versus the incontinence severity index. Neurourol Urodyn 2009; 28(5): 411–415.

22.

Hansson Vikström

Wasteson

Lindam

, et al. Anxiety and depression in women with urinary incontinence using E-health. Int Urogynecol J 2021; 32: 103–109.

23.

Thor

Kirby

Viktrup

. Serotonin and noradrenaline involvement in urinary incontinence, depression and pain: scientific basis for overlapping clinical efficacy from a single drug, duloxetine. Int J Clin Pract 2007; 61: 1349–1355.